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Shoulder pain
Shoulder joint pain is one of the common problems with which patients visit a doctor. If there is a history of trauma, it’s easy to reach the diagnosis. Without a trauma, it’s quite challenging to reach a diagnosis for shoulder pain.
Around 80% of the non-traumatic shoulder pain is due to the problem in the surrounding muscles, tendons and ligaments, rather than actual joint arthritis. We can have an idea about the cause by a simple technique. Suppose, a patient feels pain when moving his affected shoulder joint (called active movement) himself/herself. If the pain gets relieved when the same movements are made with help (someone supports the affected limb and moves the joint; it’s called passive movement), the pain is due to the surrounding muscles, tendons and ligaments.
Frozen shoulders are another common cause of shoulder pain. Here, both active and passive movements are somewhat restricted. However, X-ray shows no evidence of arthritis. Diabetes often leads to frozen shoulders.
An NSAID painkiller, rest, application of ice, and physical therapy are often sufficient for shoulder pain. However, in some cases, a course of steroids, special medicines called DMARDs, injection into the joint, surgery etc are required.
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